Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanna Cooper, PHD, ABPP-CN

Individual provider Clinical Neuropsychologist · NPI 1063901882

Shanna Cooper, PHD, ABPP-CN is a Clinical Psychologist in Portland, Oregon. Graduated from Temple University School of Medicine in 2018, 8 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
8
Trained at
Temple University School of Medicine
Licensed in
CA, OR
In the registry since
2018
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6176
Fax: (503) 494-6152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3439 Se Hawthorne Blvd # 611, Portland, OR 97214-5048 — (971) 425-3360

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 3482 (OR)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 31004 (CA)
Forensic Psychologist Taxonomy 103TF0200X · Licence 3482 (OR)

Record details

NPI number1063901882
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , ABPP-CN
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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